A 25-year-old girl was found a large tracheoesophageal fistula (TEF) 20 cm away from the incisors by gastroscope. It was a consequence of prolong intubation after the head operation because of right temporal lobe cerebral hemorrhage broken into ventricles. The patient was tracheotomy and retained spontaneous breathing. Operation was planned to via cervical and thoracic abdominal esophageal transection plus cervical esophagogastrostomy to repair the fistula under single lung ventilation under general anesthesia. Here we report a successful case using an endotracheal tube (EET) combine with a bronchial occluder for single ventilation to repair a large TEF.
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